Hayden Lake Chiropractic Pa

NPI 1417370511 - Chiropractor - 111N00000X

NPI Details
NPI 1417370511
Enumeration Date 01/24/2014
Last Updated 01/24/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name KEVIN ROBERT KEVIN
Position PRESIDENT
Phone (208) 762-0222
Fax (208) 762-5362
Practice Location
8235 N CORNERSTONE DR
HAYDEN ID, 83835-8683, US
Phone (208) 762-0222
Fax (208) 762-5362
Business Location
8235 N CORNERSTONE DR
HAYDEN ID, 83835-8683, US
Phone (208) 762-0222
Fax (208) 762-5362
Toxanomy
Taxonomy Code 111N00000X
License State Idaho
License Number CHIA-699
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According to our database, Hayden Lake Chiropractic Pa NPI is 1417370511, taxonomy code is 111N00000X and license number is CHIA-699, license state is located at Idaho. Hayden Lake Chiropractic Pa physically located at 8235 N Cornerstone Dr, Hayden ID, 83835-8683. NPI Number 1033115704 has the healthcare provider type.

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1417370511 NPI number is provided on an as is basis without warranty of any kind. 1417370511 is maintained by the National Plan & Provider Enumeration System. The contents of Hayden Lake Chiropractic Pa are for informational purposes only.